Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 031 (a)
Financial Performance Report – January 2010
SLA Performance by Specialty
• The table adjacent shows overall
financial performance by specialty
or service area for those services
making the largest contribution to
the Trust’s net over performance.
This is a summary of all types of
activity within any given specialty
or service area and includes both
admitted patient care and outpatients.
It therefore needs to be
considered only as a broad
indication of performance within
each area as there may be different
issues affecting various patient
types within a service.
Year to Date SLA Performance: Variances From Plan
Finance
PERFORMANCE UP TO NOVEMBER Planned Actual Variance
£000 £000 £000
Gastroenterology 3,423 6,004 2,576
Cardiology 7,703 9,958 2,255
Elderly 14,722 16,134 1,412
Respiratory Medicine 1,910 3,092 1,181
Clinical Haematology 3,028 4,181 1,154
Urology 5,247 6,386 1,139
Ophthalmology 17,364 18,332 968
ENT 3,862 4,603 739
Oncology 9,880 10,554 674
Neurology 1,506 2,161 655
Direct Access 3,842 4,467 624
Paediatrics 7,572 8,176 604
Maternity 18,617 19,179 562
Vascular Surgery 1,803 2,323 520
Dermatology 3,531 3,965 435
Oral Surgery 755 1,165 410
Plastic Surgery 2,503 2,874 370
Gynaecological Oncology 1,771 2,095 324
Rehabilitation 0 258 258
Diabetes 942 1,164 222
Nephrology 121 322 201
Clinical Immunology 301 475 174
Trauma & Orthopaedics 19,378 18,926 (452)
A&E 15,293 14,380 (913)
General Surgery 15,507 14,586 (928)
General Medicine 28,551 20,619 (7,933)
Others 52,770 54,512 1,742
TOTAL 241,901 250,894 8,975
Note: the performance of general medicine needs to be viewed alongside other medical specialties
with planned general medicine activity actually delivered within medical sub specialties.
Risk Ratings
Measure Description Value Score
EBITDA Margin Excess of income over operational costs 8.4% 3
EBITDA % Achieved
Return on Assets
Extent to which budgeted EBITDA is
achieved/exceeded
Surplus before dividends over average assets
employed
100.1% 5
4.1% 3
I&E Surplus Margin I&E Surplus as % of total income 0.7% 2
Liquid Ratio
Number of days expenditure covered by
current assets less current liabilities
3.4 1
Overall Rating 2.5
Risk Ratings
•The adjacent table shows the Monitor risk
rating score for the Trust based on
performance at January.
•The only significantly weak area remains
liquidity which will only be substantially
corrected with the introduction of a working
capital facility.
8